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Home My WebLink About043-540-013r SHASTAN -20 Burkeshir ,Ct,Lotl3 Hollybrook,Chico Permit #1311-84�8,g E,M.(new single family) Permit#k3829-84B,E(new pri. det. garage) Conr: 43-54-13 Shastan Co. Permit#3138-85B(convert exis to sales) _ n ing garage B07-2089' 043-540-013 MISCELLANEOUS HVAC Change Out ' CHANGE OUT HVAC CONDENSER 20 BURKESHIRE CT LOBATO, GERARD SCOTT REVOCAB 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 20 BURKESHIRE CT APN: 043-540-013 Owner: LOBATO, GERARD SCOTT RE Permit No: B07-2089 Issued Date: 10/08/2007 By KEJ Permit type: MISCELLANEOUS 20 BURKSHIRE Subtype: HVAC Change Out CHICO, CA 95926 Expiration Date: 10/07/2008 Description: CHANGE OUT HVAC CONDENSEF (530) 894-5721 Occupancy: Zoning: PAC I GALLAGHER'S HEATING & AIR PO BOX 35 LOS MOLINOS, CA 96055 (530)384-2444 ALL ABOUT PERMITS 3083 WHISTLER WAY CHICO, CA 95973 (530)680-7619 FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 :?, LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is info// force an3effect. % . 10/08/2007 Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 011HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 713-001385Exp. Date:05/01/2008 (This section need not be completed if the permit is oronhundred dodollars ($100) or less. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' ^mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those 10/08/2007 ig ture/ / - Date WARNING: FA URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. -1' CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: Building Garage Other Porch/Patio $58.00 $0.00 Receipt No: OWNER / BUILDER DECLARATION Remdl/Addn Total $58.00 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are notintended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owner's Signature 10/08/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter Ihe above mentioned property for inspection purposes. I hereby certify that I am the �vertadwner itam authdrized to act on the Drooerty ewnefsbehalf. ❑ Owner ❑ Contractor OR. Agent for Owner dAgent for Contractor FILE COPY Y otY T�o BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 111"12AJiT o BUILDING PERMIT APPLICATION NO. o --t AND SUBMITTAL REQUIREMENTS -25;4 ` a Vo O 24 HOUR INSPECIIONB: OROVILLE: (530) 538.7636 • CHICO: (530) 891o _o OFFICE #: (530) 538-7541 lll> c�U Nay A FEF_ WILL BE REQUIRED AT TIME OFAPPLICATIOIv BIN u Website: www.buttecounty.nct/dds "PLEASE PRINT CLEARLY— Gr.r!ro HrrLlUAN I INFORMATION Hrcc hr r LC: IIENGINEER 'game I - i address i Zi phone Fax Slale Zip ;,one I Page Fax =-mall Dale Approved: Slale License Number HrrLlUAN I INFORMATION 'flame C� L hef's H VA C .,ddress City �' l Slat Zi phone Fax Type Const. APPLICANT SIGNATURE For office use oniv `` Zoning Flood 7_one SRA Yes No '�cc. Type Const. Su, division Dame Map book Page Lo( # fanner Dale Approved: v v cr\ r -um 3UMVII I I HL KtUUIKEMENTS K',FORMS\BUILDING FORrv1StBldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: ......,61do. Receipt #: Sts iP Date: Total REV 6-12-05 I 3138-85B R,7RMIT NO. PERMIT EXPIRES OWNER SHASTAN CO S CONTR., hastan ASSESSOR PARCEL 43-54-13 LOCATION 20 Burkshire.Ct. Chico Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E l , JOB FINALED (Date) Signature - 19V COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. -' 534-4541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed.in accordance with the requirements of the Uniform Building Code under permit number 3138-85 for the following: r Use Classification Sales Office Address or Location 20 Burkshire Ct. , Chico Group B-2 occupancy; Type V -N construction. It is hereby certified for the occupancy described above and may be occupied. Director of PuVq Works Date 1/6/86 B y POST IN A CONSP/UOUS PLACE J.F. Glander (Over) IM J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except a's 1. Setbacks -Easements Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed' 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � i * . Date UNDERFLOOR Plans OK exce t#'s _Date F56MING (Continued) 1. Zoning requirements–Setbacks–Easements 49, Property Line Firewall & Openings 2. Ftg., Main; Soils–Steel–Elec. Grnd.– / /" Ftg. Depth A Ext. Doors–One 3'–Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils–Steel– / /" Ftg. Depth Stairs; Width–Headroom–Rise–Run–Landing–Fire Protection 4. Ftg., Porches & Decks; Soils–Steel– / /" Ftg. Depth Plywood on Roof Overhang–Attic Vents–Rafter Outriggers 5. Stemwalls, Main; Steel–B lockouts–Wrapped–S lab 5 Siding–Nailing–Veneer 6. Stemwalls, Garage; Steel–Blockouts–Wrapped–Slab 5pef Stucco Mesh–Drip Screed–Fdn. Vents–Underflr. Access 7. Piers–Fireplace t .–Steel! Glazing Area–Glass Protection–Skylights–Plastic 8. D.W.V.: f –Test -2 way C/O–Sewer Test Shear Walls; Nailing–Bolts 9. Gas Pi a–Anc rs 10. Wate Pi e; Test' chars–Regulator–Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance–Material–Support–Ins. 13. Girders–Sills–Anchor Bolts–Joists–Vents–Cripples Card -BI Date +J S Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date FIN Date Card -BI Date (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBINQ (Permit) OK except p's-37—Smoke 5 Ext. Steps–Door & Sidelight Protection–Landings Detector . W r Ht.; Vent–Access–Combustion Air 1-40'X'urnace; Vents–Clearance–Comb. Air–Connector- In Garage; Above Floor–Ducts–Mech. Protection 1 ter Pipe; Test & Anchors–Nail Protection 1.W.V.; Test–Fttngs & Anchors–Nail Protection Bedroom Exiting 17 Shower howerPan; Test, First Floor–Tub Access 1 . Test Tub & Shower, 2nd Floor–Tub Access _,68!G.F.I. & Bath Fixtures & Tub Access -i-Elec. Trim & Subpanel; Breaker Sizes–Labels 19. Gas Pipe; Size & Anchors B2!Stairs & Rails _ _§3/rireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date ,:�6d Iec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt & Appliance; Grnd –Air Gap–Cooking Clearance Card -BI Date Card -BI Date �Elec. Outlets & Receptacles at Kit. Counter Date EIAFECTRICAL Permit OK except N's.C. X67: Garage Fire Door; Swing–Landing–Closer Duct in Garage–Damper Pb., Fixture & Transformer Clearance–Ins. Protection � r""'• Htr.; Vents–Clearance–Comb. Air–Connector–P.R.V.– In Garage; Above Floor–Mech. Protection Elec. Receptacles Spacing–Lights &Switches at Doors ag.. Size Boxes & No. of Conductors–Stapled Plb., Elec. & Mech. Equip. Listed for Location 2 Ramex Installed Close to Edge of Studs & C.J. ec. Receptacles in Garage; (G.F.I.)–Romex Protec. Equip. Ground made up w/Mech. Fasteners–Bond Gas & Water Insul at ion–Foam– Looked in Attic E) Yes 2 Appliance Circuits in Kitchen & Conductor Size uarRails & Deck Construction–Post Caps Subfeed Wire Size / ? / ga. Cu or(A ire ize / / ga. Cu or At 4. �dn. Vents & Crawl Hole Door–Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes / ga. Cu or AI–Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No *&– SaWce–Riser Conductors & Ground–Main Disconnect ' 7�• llowing instld.: Drive ❑ Yes ❑ No; Walks []Yes ❑ No; to Planters El Yes E) No -.--'Stucco; Brown–Finish Equip. Clearances; Panels–MotorsMech. Equip. .C. Unit; Disconnect–Clrnces–Brkr. & Cond. Size -115V Outlet X39--6kuh®s-Closet Light–Shower Lightt ZaeVents Above Roof; Plbg.–Appliance–Firepl.–Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle–Underground Card B -I Fk Date//IQ 7,S 5 Card -BI Date 1 8a--B4ass ntilation throughout House Protection Card B -I Date Card -BI Date Date CHANICAL (Permit) OK except q's 83.rrections from Previous Inspections s Test–Meters Tagged; Gas–Electric 31. A.C. Ducts; Insulation & Support ater &Sewer Connected–C/0 to Grade–HD Approval 3 Vent Fan; Exhaust above Insulation 8&. --Energy Compliance Certificate–Other Certificates Condensate Drain &Overflow; Size &Grade 4. Furnace–Vent; Access -Comb. Air–Return Air Vent -115V outlet 5. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except p's Card -BI Date Card -BI Date Comments at Final: Sills; Proper Material & Anchors 3y Walls; Studs–Nailing, Spacing & Bracing–Plates–Sound —ter 39. Bearing Walls over Girders & Floor Nailing 3�. Draft Stop in Walls (rat proof) 46. Fire Stops; Furred Ceilings—Stairs—Chases—Tub qr>. Header & Beam—Size & Bearing Hangers—Post Caps—Anchors—Connectors 4'3'. Cing. Joist—Rftr. Ties—Purlin—Roof Brac.—Truss—Shthng.—Rfn_p_._ _ Fireplace Ties or Type A Flue—Fireplace Throat Attic Access; Size & Romex Protection—Draft Stop—Ins. Baffles Bdrm. Windows or Exiting Doors—Sill Hgt. & Dimensions 4,Z Garage Fire Protection Framing (NOTE: An entry must be made each time you vis it job site) V COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC,WORKS PERMIT eNO. J Sr�3 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 %> �i APPLICATION AND PERMIT 17 ASSESSOrZJ ARC.EL-NUMBER - --; atiT ZO IWG • 1' BUILDING PERMIT 0 W3 �P-` TELEPHONE S��Off. FT. OCC. BUILDING VALUATION r .2 ®6 MAILING RESS • t"` � Al ACT s E TELEPHONE CO T 'SN c RESS CO ACTOR'S MAILIG QD �'- / 3 Fireplace CONSTRUCTION LENDER Y� UNKNOWN II Total Valuation Is Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ i ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ s Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS/1A 1� /O J6 l• /�'�X J Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r CA41voi Each Trap ` 2.00 Solar or heat pump water heater 20.00 LOT NO. V SUBDIVISION NAME C_ �&e 1W PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New ❑ ,Addition Remodel] Utilities ❑ Installation❑ Other ❑ Describe work: �4 00, -�, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professii; s ,�de an my license is in full force and effect. 'jet License No. Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OR AODNS. ( ACC. BLD a , /4sgft ® L NEW CONSTR. ULT' -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS /POWER APPARATUS h� (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SAL030 eALoao EX. Occup. OUTLETS (RESID )FIXED APLNS. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Z, 00L WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject ❑ to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling fill Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ab mentioned property for inspection purposes. I also agr to sav ,' d ify an keep harmless the County of Butte against all liabi ties, ju m nt cost nd expenses which may in an wa accrue against aid Co nseq a of the granting of this permit , x P Date a 0 Signature of pplict - caner❑ Contractor E]Agentwork An OSHA permit is require for excavotions over 5'0'e��pryd olition or construct- V/ (7 ion of structures over 3 stories in h ht.'L Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Qm occuP. r _ TYPEJ FL000 ARCEL PD N715SU This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF P BLIC � By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D to r pr ` Receipt No. d — I7�� /J WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. LDPPLICANT ENROD-A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION .#J 7 COUNTY CENTER DRIVE - OROVILLE�'CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLIGAVON DATA SHEET V Permit No. OWNER 'V t'L TV) V\ t w --Cr^ A. P. No. ,3' 6 "39 1 I) Proposed Building Use Permit Fee Based Upon: Complete Conact Price _DPW Valu t on Other (Explain) Building Inspector Date / b31� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . ... . 4. Complete engineered plans and calcs. . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . Statement of Intent for Non -Heated and AC Buildings. oq 06 i 9. e t t e r of siga uA aLfttloriza Ion. . . . . . . . W111 Sanitation approval from Health Dept. Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) D K�5. Improvements may be required. . . . . . . . . . . . ' 16. Mobilehome Installation Data. . . . . . . • • Pre-Insp17. Pre -Inspection for Required. In request to p q Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement . 19. Other - prova r occupancy When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at —off* .e. Deliver w/inspector. Other J 4. �,� , � , Applicant Date Z Copy of plans sent Health Dept., Fire Dept., Others U Date C/ /b During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at tim of p l*c tion, circle item.) 1. Index permit for above Items No. 2. Additional items required: 7� vN (Contractor, Designer, Owner) was advised of above required data by Telephone By Plans checked by Date Plans approved by Date Other: Copy—DPW Mail Other Date Ra; i _ A 3829-84B,E j PERMIT NO. 1311-84B,P,E,M PERMIT EXPIRES 1 n t0 OWNER SHASTAN CONTR. SHASTAN ,e ASSESSOR PARCEL 43-26-03 & 43-29-72 Lot 13 LOCATION 20 Burkeshire.Ct,_Lot 13, Hollybrook Chico ' OFFICE COPY Address X GAS Meter By Dat ELECTRIC, Meter By Date Temp. Power Pole 1 Called PG&E Temp. Elec. Service e r Called PG&E Temp. Gas Service ' Called PG&E JOB FINAL ED (Date) Signature J Ownc- Co . Permit No. /.3/x-0 ENERGY C,ERT,IF ICAT ION LOCATION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fibgralass Batts Thickness(inches) 3 5/8" CEILING Batt or Blanket Type Fiberglass Batts Thickness(inches) 92" Loose Fill Type Fiberglass Minimum Thicknesl(Inches) 14" Area covered(ft. ) 1.333 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) -Z -03 _ 4�3 a 9 -7oz A. P. Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R13 Brand Name Owens-Corning Thermal Resistance(R Value) R30 Brand Name Manville Number of Bags 27 Wt. per bag 35 lb. Thermal Resistance(R Value) R30 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. LOERKE INSULATION COMPANY #432518 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. _- SIGIUTURE OF I TALLAtION APPLICATOR May 2, 1985 DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. 5,1,9s MAI CO, FIRM NAME/OWNER (Ple se print) 9-, J 14,( -/- NA OF OENERAL CONTRACTOR OWNER &ea74? STATE CONTRACTOR'S LICENSE NO. CZE,/'4is DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 J = OK 0 = Not OK = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails '4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability ' 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable R = Not Ready DE �Atl (Sin'gle and Duplex) � Date UNDERFLOOR Plans UKexcept N' _Date FRAfylNG (Continued) Zoning requirements -Setback -seTA S 46f�Property Line Firewall & Openings A Ftg., Main; Soils -Steel: / -L./" Ftg. DepthOe-Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., Garage; Soils -Steel- " Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth X30.. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ^51 -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-S 1 52. ;Wing -Nailing -Veneer Stemwalls, Garage; Steel-Blockouts-Wrapped-s46Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Piers -Fireplace Ftg.-Steel -64•.-Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts way C/ Sewer T--e-sD Gas Pipe Si -Anchors 0. Wate ipe; 'Te Anchors -Regulator -Service Test 11. Electric; Underground L 12 Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Dat -3 Z71. Card -BI Date / Card -BI DateCard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date % 1 S y '-' Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLU BING (Permit) OK except N's ab --Ext . Steps -Door & Sidelight Protection -Landings oke Detector Pater Ht.; Vent -Access -Combustion Air Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1 ater Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection . Bedroom Exiting Shower Pan; Test, First Floor -Tub Access . G F.I. & Bath Fixtures & Tub Access -98--7est Tub & Shower, 2nd Floor -Tub Access 6UItlec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors tairs & Rails -b3rPireplace or Stove; Clearances -Hearth ..G4rfPlec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Elec. Outlets & Receptacles at Kit. Counter. Date ELECTRICAL Permit OK except N's -6* -'Garage Fire Door; Swing -Landing -Closer --BE-A.C. Duct in Garage -Damper te,Fixture & Transformer Clearance -Ins. Protection 0.-Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Receptacles Spacing -Lights &Switches at Doors�^� _Elec. ize Boxes & No. Conductors -Stapled f0rPTb., Elec. & Mech. Equip. Listed for Location mex Installed Cltoo se to Edge of Studs & C.J. lec. Receptacles in Garage; (G.F.I.)-Romex Protec. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water sulation-Foam-Looked in Attic es.Guard 2°3.'2 Appliance Circuits in Kitchen &Conductor Size Rails & Deck Construction -Post Caps Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al "7;-T7I`n, Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drge ❑ No; Walks es ❑ No; Plan ers ❑Yes Lam. q, 2 Service -Riser Conductors & Ground -Main Disconnect S co; n -Fs 2p quip. Clearances; Panels-Motors-Mech. Equip. .C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 0. Clothes Closet Light -Shower Light -nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 47&. -Water Well; Disconnect, Electrical, Plumbing dD.-Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date s'Ventilation throughout House �llass Card B -I Date Card -BI Date Date ME ANICAL (Permit) OK except N's Protection 834 Corre tions from Previous Inspections 84mX.t-Meters Tagged; Gas -Electric . Ducts; Insulation & Support 86/water & Sewer Connected -C/O to Grade -HD Approval Vent Fan; Exhaust above Insulation -Condensate . d'$/Energy Compliance Certificate -Other Certificates Lie' Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet tic Access & Platform if Furnace in Attic Card -BI Dat Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Card -BI Date Card -BI Date Card -BI Date Card -Bt Date Date FRAMING(Plans) OK except N's Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38� Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40- Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors _ Cing. Joist-Rftr. Ties-Purlin- Roof_Brac. rus Shthng.-Rfn_g_.__ .fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions enir-Marage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND' PERMIT PERMIT NO. ASSESS R PARC —c03 ,3- Z ZNING BUILDING PERMIT( Ow EPHONE SO. FT. OCC. BUILDING VAL ION OW R'S MAI) NG ADDRE S CONTR CTOR NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace � ti CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ T ARCHITECT OR ENGINEER LICENSE NO. Pppll�a��n��Checking Fee $ W '�Y� $ / ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee BUILCIING ADDRESS PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 Lo . i's sueDlvlslo INA E PARCEL MAP Each qas water heater or vent 5.00 S Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE — SF L(� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New BAd&tion Remodel tilitie installation E Other El Describe work: La'ar%Y�/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 lolb Main service EA. ADD'L 100 AMP 2.50 NE WCON13OR ADDN BL 21�ZQSQft CONTRACTORS LICENSE LAW I decl under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business nd Professions Code and my license is in full ff and effect. � License No. VZ - // �j Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ;❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. u Ti-ou L NON-RESID BRANCH CIRC ITS NEW CONSTR //POWER APPARATUS &'\\ NON.RESID. 1 SINGLE OUTLET CIR. 1 20®50c Ts OR FIXTURES SAL®30 Ex. Occup(o XED FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): •.❑ The permit is for $100.00 (valuation) or less. F-1/ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating go, Cooling Hood 3.00 Ventilation 8 Permit Fee $ 3 6 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of utte against all liabilitie judgments, costs ar�]]d expenses which may in an wa accrue again t Asai,unty in co eque celof the granting of this permit Date Signature of Applicant — wner ❑ Contractor ❑ Agent r An OSHA permit is required for ex c v tions r 5'0" d p a o Prion or construct- ion ofstructuresova 3 t i in h t. Receipt No. 3� WHITE,-D.P.W., YELLOW- 53$30 R, NK- S GO NR D -A PLICANT Mobile Home Installation Fee $ ZMVP TOTAL PERMI E $ Occup. GROUP TYPE OF CONST, IFIPA�� PD H ss This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which. fees have been paid. DIRECT OF PUBLIC WORKS BY Date_ %—Z—F) PERM EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT j PERMIT NO. Vk/ 6 r7 ASSESSOR PARCEL NUMBER 43 - 2.6 - 03d 143 -aA - 72 ZO ' BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC, BUILDING VALUAT.•1 OWNER'S MAI ING ADDRESS - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ - Filing Fee $ - 10.00 LENDER'S MAILING ADDRESS Permit Fee $ YOW ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee l $GE-;— BUILDING BUILDING ADDRESS r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT. NO. SUBDIVISION AME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 SE OF STRUCTIAE SF ❑ Duplex ❑ Mobi lehome ❑ Other r- k & C�/� SPECIFY Building sewer 5.00 Mobile Home S I G I W-1 10-00ea TYPE OF WORK New Addition❑ t modelUtilities❑ Installation El Other El Describe work: I a'h �'�� AA oaccder t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 2'�z2SQft 6, CONTRACTORS LICENSE LAW I de lar under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s de a d my license is in f force and effect. �� License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI.OUTLET NO N.RES'D BRANCH CIRC ITS. 2.50 ea NEW CONSTR.POWER APPARATUS .&') NON.RESID. (SINGLE OUTLET CIR. 20e50e Ex. Occup(ouTLETs OR FIXTURES BALe 30 Ex. OCCUp. OUTLETS PLNS (RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ' I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep -harmless the County Bute against all Iiabiliti s, judgme ts, costs, and expenses which may iny w y accrue against'sai County ' c uence of the granting of this peMt, %� D9tThis y Signature of Applicant — Owner El Contractor ❑ Agent' An OSHAy permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ' TOTAL PERMIT FEE OCCuP. GROUP TYPE OF CONST. PARC PD 155 permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.lgb WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT __..--- N N � This set.of plans and specifications MUST 6 kept n tho ;oia ��fi !I i'iti^E.s ��rtd int is unlawful o . _ y 24,,od 14 . mako a31y chancirs cjr ali'erations on same wit o t S.E. !i wsitTl .n permission :rom the Depa4rnent o� u I li Works, County of Butte. 1 NO.'E All Materials & Wor nshi Shall Be Qn K I Acc r nc`e with - .ecognized &d F ENactices a d d l of a q a!iFy prescr bed for the Sp eci&i 6 use in fie 14 I Ung ri L!Ui'ding, Plumbing & M c,an' h d � th of 4c ticnal Electr cal Code. I A setback of 5 ft. from t property lir es and a set a k of 50ft. from the road centerline shall be clear bf N G structures or equipmQnf $ fer z 2 ft, a ve bverhn n o° Ey I Zo ; rLAN ` o e Master Plan q file for 60 di q I , i-9r I 't 517. FLANI. , Foy SN�,S7AN co,, INS, - - :T-qmc===C= _ OJN 0'r-uNo, P��RM�kN iiQWKItJS ,lob b3133 I IL I EPARNENT APPROVED r 4d.OD I- 44,00' r -j - i FLAN G 1 a R 5y D.W. ♦ � 44-.00' �.: vet_ ► '� GO ?.0,c01 BUTT COUNTY HOLLYE)KOOK SUBDIVISION -�'l�� I'LE�IV Foy SHAS-TAN co, , I Nc'. C,HI��, tea. -g4 UT E COU TY BU APPROVED HOLLYbKooK. -SU15DIVISIC.N. - �5FL FLAN- SHAS-TAN Co' , Nc' ellE-uNo, E5UKMAH 7 HAWK -105 EN\ 4kF'�'~�• ,511,o95 / AA1 Permit No. ' E N E R G Y C E RT I F I C A T I O N 7-S .. Garage Office 031e13-.;?9-72— LOCATION 3 e13 -a9 -7Z LOCATION A. P'. 14. DESCRIPTION O;'? INSULATION ROOF Material ',rand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL 1� Material FibC,rglass Batts *Brand. Name Owens-Cornina Thickness(inches)_ 3 5/8" Thermal Resistance(R Value) R13 CEILING Batt or Blanket Type Fiberglass Batts ..Brand Name Owens-Corning Thickness(inches) 64" Thermal Resistance(R Value) R19 Loose Fill Type Brand Name Minimum Thickness(Inches)_ Number of Bags .. Wt. per baggy• lb. Area covered(ft.�) _ . 'thermal Resistance(R Value) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB, Material" • • I Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) and Name, Thermal and Name, Thermal Resistance(R Value) Resistance(R Value) Brand Name �} Thermal Resistance(R Value) I hereby certify that the above insula t' in conformance with the State of Califol LOERKE INSULATION CO. FIRM NAME/OWNER SIGNATURE -OF INSTALLATION APPLICATOR was installed'in the above building Energy Requirements. #432518 STATE CONTRACTOR'S LICENSE NO. January 13, 1986 DATE I hereby certify the above insulation aAd•.all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Eney�gy Requirements. All equipment, devices and materials ar?: of the quality prescribed or. are specifically approved by the State of California. .5#457AA1 C D, FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR OWNER �� DATE M' THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1`984 t